P Praxis·MD
● Active Type 1 · Individual

Audrey Nicole Imperial

Dentist·Jbsa - Lackland, TX· NPI 1972137644 · Enumerated 2020 · 6 years on NPI
Imperial is 1 of 2 dentist providers in Jbsa - Lackland and 1 of 15661 in Texas.
NPI age
6 years
Enumerated 2020-03-02
Primary specialty
Dentist
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-03Enumerated in NPPES
2020 2026

Where they practice

Practice location
59 Dg Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352
Jbsa - Lackland, TX 782365313
📞 2102926258
Mailing address
1615 Truemper St
Lackland Afb, TX 782365511

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    AZ license #D010674 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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